Online Patient Registration Forms

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You can now request your next appointment online. 

Visit the Contact Us section of our web site and complete the Patient Registration Form.  The form is secure and our office will be notified once the form is complete.  When you walk in for your next appointment, we'll already  have the information entered into our computers.  We're always looking for ways to serve our patients better.

 
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Hours & Location

Leitchfield Office

31 Bobby Bland Way
Leitchfield KY 42754
Phone: 270-259-0500
Fax: 270-259-0079
Emergency Contact: In case of emergency, please call: 270-230-5381

Brownsville Office

100 Park Place, Suite #4
Brownsville KY 42210
Phone: 270-597-9571
Fax: 270-968-0204
Emergency Contact: In case of emergency, please call: 270-230-5381